The child swallowed a small object: what to do? What to do if a child swallows a foreign body

No matter how hard we try to protect the baby from danger, no one is immune from accidents. Therefore, all parents should know how to provide first aid to kid. After all, the life of a baby can depend on the actions of loved ones, especially since in emergency situations Sometimes minutes count.

According to statistics, every year millions of foreign bodies enter the gastrointestinal tract of children. This happens as a result of careless handling of small objects and due to an oversight of parents. How not to get lost in such a situation?

Most often the diagnosis foreign body"exhibited in early childhood. As soon as babies begin to crawl and then walk, they quickly master territories and objects that were previously inaccessible to them, and some of them must strictly be in a place inaccessible to children. Acquaintance with new objects occurs in the most detailed way through all available senses. The child needs to turn and examine the "toy" from all sides, be sure to smell it, and most importantly, determine the degree of its edibility. The result of this curiosity is that objects fall into the mouth, and then into the gastrointestinal tract or respiratory tract of the baby.

If you witnessed such a situation, urgently call an ambulance. The baby must be under medical supervision, even if in the first hours there are no symptoms and he feels well. A foreign body with sharp edges (needles, pins, badges, etc.) can get stuck in various departments gastrointestinal tract, which increases the risk of puncture of its wall. Large and heavy foreign bodies (eg. metal ball), which do not go out on their own and stay in the intestine for a long time, can cause significant damage to the wall with bleeding or perforation (violation of integrity). Therefore, when a foreign body enters the gastrointestinal tract, it is imperative to make sure that it has come out, for which each child's stool is carefully examined.

If the child was not in your field of vision when everything happened, it will be much more difficult to detect the presence of a foreign body in the gastrointestinal tract. In addition, often children, fearing punishment, hide this fact from their parents.

Usually, babies swallow small things - toys or their parts, coins, buttons, fruit seeds. As a rule, the child does not experience any discomfort except for fear. In the future, the baby may not have complaints, since in most cases small objects come out within 2-3 days on their own.

If the object is of considerable size and blocks the lumen of the esophagus, then choking, profuse salivation immediately appear, there may be hiccups, belching, nausea, and vomiting. Any eaten food and water goes back.

Beware of batteries!

Seek medical attention immediately if a battery is found to be a foreign body. In the stomach containing hydrochloric acid, the food element, oxidizing and releasing aggressive substances, can damage the mucous membrane due to chemical burn. Ulcers can form at this site, leading to life-threatening complications. Disc batteries are especially dangerous in the esophagus, where they can quickly cause necrosis and perforation (death and rupture) of its wall.

The child swallowed a foreign object: what to do?

As you can see, the baby's behavior and symptoms will depend on the size, shape, material of the object that the child swallowed. If you suspect the presence of a foreign body in the gastrointestinal tract, the first thing to decide is the speedy delivery of the baby to the hospital. It is urgent to call an ambulance and take the child to a hospital, preferably a multidisciplinary one, which has surgical, radiological, endoscopic, ultrasound departments available around the clock. In Moscow, these are the Izmailovskaya Children's Clinical Hospital, the Filatovskaya Children's Clinical Hospital, St. Vladimir's Hospital, etc.

Before the ambulance arrives, parents do not need to make any attempts to pull out, shake out or "push" the foreign body further into the stomach (for example, by giving the child bread). By your actions, you can only harm. You can not feed and water the child, including. You can moisten your lips with water if they are dry. We must try, if possible, to calm the baby and collect Required documents to the hospital: the medical policy of the child and mother.

If the baby is coughing, choking, choking, you can tap with the edge of the palm or fingers on his back between the shoulder blades, directing blows from the bottom up, throwing the baby over the knee so that top part the body was lowered. A child under 1 year old is placed on the arm face down, head slightly lowered, index or middle finger The "supporting" hand is placed in the child's mouth, opening it, with the free hand pat on the back. This should not be done if the baby can breathe, as hard taps can dislodge the object in such a way that it blocks or swells the airway, making it difficult to breathe. Do not forget that the main task of the actions taken is to facilitate breathing (if it is difficult). If there is no difficulty in breathing, then you should wait for the arrival of an ambulance.

In the hospital: examination and removal

In the admission department, the child is examined by a pediatrician and a surgeon, if necessary, additional examinations are carried out: X-ray, endoscopic or ultrasound. It should be remembered that only metal foreign bodies, stones and some types of glass are visible on the x-ray - plastic and wooden objects are not detected due to the texture of the material. Based on the examination and these research methods, a diagnosis is made and the level of location of the foreign body is determined. The child is left in the hospital and, in most cases, is observed until the object is removed on its own (usually 2-3 days), by prescribing a laxative.

If urgent removal of a foreign body is necessary or its progress through the gastrointestinal tract is difficult, then in 99% of cases it helps endoscopic method treatment. This is possible when the foreign body is not below the duodenum, where a fibroesophagogastroduodenoscope can reach (endoscope 1, with which you can remove a foreign body from the upper sections of the gastrointestinal tract: esophagus, stomach, initial sections of the small intestine). Extraction of a foreign body occurs with the help of an endoscopic loop, basket or clamps, passed through the endoscope, which is inserted through the mouth 2 .

Sometimes a foreign body can be pushed through the apparatus, and in the future, when taking a laxative, this will help it leave the body faster. naturally. If it was not possible to remove the foreign body endoscopically, laparoscopic or abdominal surgery is performed, which is always more traumatic for the body and is associated with a much larger number of possible complications. Laparoscopic surgery differs from abdominal surgery in that a large incision is not made on the anterior abdominal wall, but a laparoscope 3 and special surgical instruments used by surgeons are inserted through small holes into the abdominal cavity. Method surgical intervention the surgeon chooses depending on where the foreign body is located, what its shape and size are, taking into account the condition of the child.

Prevention

Don't leave your little one unattended. It is necessary to remove small dangerous objects in a place inaccessible to the baby. You have to be very careful when choosing toys: they should be appropriate for the age of the baby and not have small and easily broken parts.

1 Endoscope - (Greek endo - "inside", skopeo - "examine, examine") - the general name of tubular optical instruments with a lighting device designed for visual examination of body cavities and canals, into which the endoscope is inserted through natural or artificial openings.
2 See the article "Endoscopy", No. 4, 2007.
3 Laparoscope (Greek lapara - stomach, skopeo - "examine, examine") is a type of endoscope, which is a metal tube with a complex lens system and a light guide. The laparoscope is designed to transmit images from abdominal cavity human body.

Alexey Krasavin, endoscopist,
Izmailovskaya Children's Clinical Hospital of Moscow

From about 7 months old, babies begin to put various toys and objects into their mouths. This is caused by the desire to massage the gums to get rid of itching during teething. Seniors can taste something unusual. Between the ages of 1 and 3 years, about 20% of children swallow some small items. How to understand what a child swallowed foreign object says the pediatrician. Employees of the Daughters-Sonochki online store will help you choose safe teethers.

Signs that a child has swallowed a foreign object

To prevent the baby from pulling small items into his mouth, provide him, especially during the period of the appearance of the first teeth, with safe teethers. Perfect model "Giraffe", made of environmentally friendly plastic.

If an infant puts something inedible into its mouth, parents should immediately remove the foreign body. If the baby swallowed a tiny product, without sharp parts, he could only choke. Swallowing a large, toxic, or sharp object in the throat and esophagus causes pain and nausea. May appear severe vomiting and traces of blood in the stool.

Symptoms if a child has swallowed a foreign object:

anxiety caused by abdominal pain;
nausea and vomiting;
frequent belching and profuse salivation;
admixture of blood in the feces;
refusal of any food;
fever (reason - intoxication);
bad mood, crying.

If at least one of these symptoms is detected, an ambulance should be called. Small buttons and parts from a rattle can pass out of the body naturally. To be sure, check the contents of the diaper. If the baby is not naughty and behaves in the usual way, you can wait, but no more than two days.

Important!

How to determine if a child has swallowed a foreign object? When children still cannot or are afraid to answer the question of their parents, it is necessary to undergo an examination: do an ultrasound, x-ray or endoscopy. It is necessary to examine the respiratory tract, esophagus and gastrointestinal tract.

Previously, the baby must be shown to the pediatrician. Doing an enema at home, inducing vomiting or giving laxatives is strictly prohibited. This will spoil you complete picture before the examination.

conclusions

How do you know if a child has swallowed a foreign object? This may be indicated by vomiting, nausea, crying from severe pain in the abdomen, detection of mucus or blood in the stool, and copious excretion saliva, heat and lack of appetite. In the presence of such signs, you should immediately go to the doctor. negative consequences can be avoided if you offer your baby educational toysthat do not disassemble and do not contain sharp parts.

Small children- very curious and restless creatures. Exploring the world is the first goal of all toddlers. What is possible, what is impossible, how to do it, and how not - they are only learning to understand all this. Parents should always be on the alert and steadily monitor the movement of babies crawling and pulling everything into their mouths.

Sometimes it happens that children are quicker and more dexterous. Hence various falls and accidents. The child may be burned, injured, hit, or swallowed by a foreign object. What should parents do in such cases? No wonder they say that knowledge is power. After reading this article, you will be able to be savvy in such a matter as swallowing objects, recognize the symptoms and understand what to do if a child swallowed a coin, a button or some other object.

Foreign body stuck in the esophagus

A child sometimes swallows any object - a coin, a part of a kinder, a tablet or a cap from a pen during a game or in the process of mastering the space of his room. Often this happens from the age of 3 years and continues until the baby becomes more aware. When an object enters the respiratory system or esophagus, a very serious situation occurs for the life of the baby. The esophagus is very sensitive at this age and if the child all of a sudden swallowed a foreign object, there is a sharp spasm. The baby's chest pain and cough should worry you.

In addition to pain behind the chest, it becomes painful for the baby to swallow not only food, but also saliva. You might think that vomiting when a foreign body enters the esophagus is capable of expelling the object. However, nausea, vomiting, or coughing danger signs. So that the object does not injure the esophagus and does not lead to unforeseen consequences, call an ambulance as soon as possible.

The object is stuck in the respiratory system

Sometimes a child can not only swallow an object (a small coin, a part of a toy), but also inhale it through his nose. IN this case it ends up in the respiratory system. These paths in the baby are very small, so the object in them is a more dangerous situation than it is in the esophagus. It will either damage the organs, or block the pathways, and then cause respiratory arrest. The reason is that such an object does not come out due to the ligaments that prevent this.

When child Not swallows a foreign object, and inhales it, it can enter the wider right bronchus. At the same time, there are coughing fits, whistling and noises during breathing, blue skin. Popping sounds are heard if an object is stuck in the trachea. If it was a food product, then it can cause suppuration in the ways or inflammation of the lungs. Call an ambulance without delay!

Items to be removed

If a child swallows a foreign object you need to take certain actions before the arrival of the emergency. The degree of danger to life depends on the subject itself.

Sharp and prickly small objects - carnations, screws, small needles, pins, buttons, paper clips. To prevent the child from swallowing such foreign objects, put them away and higher.

Bones in berries and fruits. When cooking compotes, jams, and in general when serving them on the table, check fruits and berries for the absence of seeds.

Items longer than 3 cm.

Batteries of various sizes. For this reason, don't give your little one toys with batteries.

Small parts of toys.

Glasses and their fragments.

A child can swallow a smooth, rounded object - a pea, a button, and so on. If this happened before your eyes, but you do not observe negative signs, then first aid baby's stool will be monitored.

Symptoms

When a child swallows a foreign object, he has a certain symptomatology, which differs from the case of inhalation of the object.

Coin swallowing symptoms. The pain in the abdomen spreads, does not become quieter, but only increases. Vomiting and regurgitation may occur several times. The chair is difficult, or streaks of blood are observed in it. There are other incomprehensible symptoms or hiccups, profuse salivation. No matter what child swallowed - 10 kopecks or a bullet, keep an eye on him without stepping away from him, and call an ambulance if symptoms are present.

Symptoms if a child has swallowed a battery or inhaled/swallowed household chemicals. In this case, the situation becomes doubly dangerous. In addition to pain, the baby cannot swallow food, crying begins. The battery can cause burns to the mucous membrane due to the presence of hydrochloric acid in it. Coin-cell batteries are especially dangerous. A debilitating cough and vomiting with drops of blood may begin. Household chemicals can cause tissue perforation in a matter of seconds. Contact immediately first aid to the hospital.

Symptoms of a tablet ingestion. In some cases, the tablet can block the esophagus and then the swallowed food comes back. If the baby swallowed it deeply, then abdominal pain and vomiting begin.

Symptoms of swallowing a round object. Discomfort may not appear at all, but you should make sure that the item comes out within three days. To do this, carefully study the baby's chair.

Symptoms of swallowing a thorny object. The baby begins to cry and complain of pain. There may be blood in saliva or sputum, in which case we can say that the object has already damaged the wall of the organs.

Symptoms of inhalation of the object. Blue or red face, wheezing or wheezing, coughing.

How to help if an object is swallowed / inhaled

Important! Your help is provided to ensure free breathing. The rest of the measures are taken by the ambulance workers!

If your child suddenly swallowed 10 cents or something else, you need to take action immediately after calling an ambulance. Do not stop providing first aid until the ambulance arrives.

Do not panic! Act clearly and quickly, do not scold the child and do not shout.

To kid less than a year and it's hard for him to breathe. Quickly lay the baby on your knee, tummy down, so that the upper body hangs down, and begin to clap the edge of the palm between the shoulder blades. If the child can breathe, these actions are not recommended so as not to push objects into the airways. In this case, wait for an ambulance.

Child older than a year. Turn him back to you and grab him with both hands above the waist. Rhythmically press on the stomach with both hands every 3 seconds. At the same time, make sharp pushes from the bottom up with your hands and at the same time calm the child.

Streamlined object swallowed. Observe your child's stool and feed him fiber-rich foods for three days. But that's only if it's not anxiety symptoms or crying.

The item has not come out and there are no symptoms. In this case, make an appointment with the ENT.

What not to do:

Do not give enemas, so as not to further damage the digestive organs and make things worse.

Don't hesitate to call an ambulance.

If child swallowed a ball made of metal, it may be too small to be seen in stool. In this case, do not wait until he comes out, but sign up for an x-ray.

Do not push the object with products like bread.

Don't shake the baby.

Never leave child unattended so that he not only swallowed a battery or another object, but did not pour hot water over himself and did not accidentally injure himself.

Take the baby with you and do not lose sight of it even for a minute.

Do not resort to drugs with a laxative effect, so as not to harm the body even more.

Do not give anything to drink before removing the item.

Don't try to induce vomiting yourself.

Also, you should not breastfeed a baby if he swallowed or inhaled an object. Only a doctor will allow you to do this.

How to prevent the entry of a foreign body:

Remove all small objects as far as possible, especially if the baby has begun to crawl. Carefully inspect all rooms and corners for the presence of these items. Also hide away all the toys of the older child.

Particularly dangerous are toys-designers, consisting of magnetized balls. They may call heavy bleeding and don't get out without an ambulance. In such a question, the account life goes for minutes. It is better not to buy this toy until the child grows up.

Keep money and small items in lockable drawers.

When buying a toy, always read the age labels. Hold on to buying Kinders and Lego until the baby grows up.

Activities in the hospital

If the child swallowed a foreign object, in the hospital he is placed in the department of pediatric surgery. When an iron object hits, it is checked on an x-ray. In case of ingestion of food and other objects into the respiratory organs or the esophagus, endoscopy is performed. An endoscope is a long tube with forceps at the end and a camera. With the help of an endoscope, the object is grasped and removed. Sometimes this procedure does not require anesthesia.

To cleanse the bronchi from the object, anesthesia is always resorted to in order not to allow the glottis to close. After the object is removed, the child may be kept under observation for a few days and given antibiotics to prevent infection. If all actions are unsuccessful, an operation is performed.

Now you know, what to do if a child swallows a foreign object. Remember that self-elimination should only be done when breathing is difficult. If the item came out before the ambulance arrived, don't worry. In this case, it is always better to play it safe.

If the baby swallowed a smooth object, without sharp corners, then you shouldn’t worry too much - wait, and the object will leave the body naturally along with the stool. However, keep a close eye on your child's well-being. If he starts to feel sick, the temperature rises - immediately consult a doctor. It is also worth contacting medical care if the child has swallowed a sharp object. If you see that the child has swallowed some really dangerous object - a needle or a toothpick or any other metal object - hurry to the doctor, despite the child's well-being.

If you have not noticed a swallowed object in the child's stool for two days, you should also seek the advice of a doctor.

Not worth it long time do nothing if your child has swallowed something. Some items can not only damage the walls of the esophagus and intestines, but also cause poisoning. Therefore, consult a doctor immediately.

How to teach a child to not put everything in his mouth that comes his way?

The main problem is that children it is impossible to wean a child from “tasting” everything to taste- after all, in this way the baby learns the world. This behavior will be characteristic of him until he reaches the age of five. That is, with no persuasion, explanations and requests, you can not force the child not to pull anything into his mouth.

Therefore, all parents can do during this time is to keep a close eye on their child.

First, try to dangerous objects and products remained out of sight of the baby. Such potentially hazardous items include: deflated air balloons, any small objects, popcorn, in general, everything that can damage the walls of the esophagus or what the baby can choke on. Parents need to be especially attentive if they go on a visit with a child. In the apartment of friends there can be a huge number of items that the child will definitely want to taste. Also, be vigilant when traveling with a child in nature.

When buying toys and clothes for a baby, you should carefully check that the product does not have buttons and other small parts which the child can swallow.

In addition, in case the baby nevertheless swallowed a small object and choked on it, it is useful for parents to know the rules for cardiopulmonary resuscitation.

How to behave if the child swallowed something and choked?

If the child chokes and starts to cough - don't bother him. It is possible that the baby himself coughs up the object. When you see it in the child's mouth, carefully remove the object. Do not try to get the object out of the baby's throat by sticking your fingers deep into the baby's mouth - you will only make the situation worse and not help the baby.

If the child cannot cope with suffocation on his own, begins to blush, suffocate and cannot speak - urgently call an ambulance. While the ambulance is on the way, give him first aid.

How can you help your child:

Toddlers are creatures that require constant attention and control. As soon as they have learned to crawl and walk, reach shelves and drawers, parents need to remember that the child is exploring the world with his hands and mouth, which means that there is a high probability that something will be put into this very mouth and swallowed or inhaled. The condition when a child swallows or inhales a foreign body can be dangerous to life and health. Therefore, it is necessary to know how it manifests itself, what is dangerous and what to do.

Foreign bodies in the digestive system
In pediatric surgery, foreign bodies, especially in babies of the first years of life, are not uncommon, doctors even collect their own museums of what is found in the body of children. According to statistics, every fourth child aged from one year to 5-6 years swallowed foreign objects at least once in his life, greatly frightening his parents.
Putting toys and objects into the mouth is one of the stages in the development of the baby, the “oral stage” of learning the world, so the child receives information about the shape, properties and taste of objects. And the task of parents is to make the knowledge of the world by mouth safe. Therefore, it is necessary to carefully monitor what gets into the hands and mouth of the baby: these should be large objects and safe surfaces. However, we are all people, we are often forgetful and absent-minded, and it is not always possible to keep track of the crumbs.
More often foreign objects fall during the games, if the baby is very interested in some subject. The outcome will depend on the size, shape, surface and type of object, not all of them are dangerous for the baby. Small foreign bodies can freely leave the body themselves. Parents will be happy to discover the loss at the bottom of the pot. However, there is always a chance that the swallowed object will get stuck in the esophagus or intestines. Only sufficiently large or complex objects can remain in the stomach.
If a foreign body is in the esophagus

This is a very dangerous situation, as the child's esophagus is very sensitive and vulnerable. In addition, it has muscle groups that, when irritated by the edges of the object, can spasm and lead to complications. Therefore, you need to know what should alert you to the well-being of the child. First of all, when swallowing, the child will complain of pain, and he will point to the sternum and inside chest. In addition, while swallowing saliva, he will complain of discomfort, and solid food may not even be able to swallow. Dangerous in babies is the appearance of nausea and vomiting, as well as the occurrence of coughing. When similar symptoms in a child, immediately contact the nearest hospital, conduct an examination. Delay with such symptoms is dangerous by perforation (hole formation) of the esophagus with bleeding and food masses entering the chest area - this is life-threatening.
Foreign body in the digestive system

Often, when parents discover that the baby has swallowed something, but it does not manifest itself outwardly in any way, does not cause discomfort, then mom and dad choose expectant tactics. However, it is not always possible to wait for the release of a foreign body, even if the baby is outwardly healthy. There is a category of items that are dangerous by the very fact of being in the digestive system, waiting for them to appear in a pot is very dangerous for health, and sometimes even for the life of a crumb.
So, potentially dangerous, and therefore requiring the immediate help of a specialist, include:
needles, pins, push pins, paper clips, toothpicks, fishhooks, cloves, and other very sharp and small items
objects from three centimeters in length
batteries and batteries of any type and type - watch, finger, little finger, from toys
magnets, especially if the child swallowed not one, but several pieces
glass, pieces of ceramic with sharp edges
large seeds from fruits - peach, apricot, plum

It is possible to observe the child if he swallowed a streamlined object (buttons, rounded stones, balls, coins) and a small size. Then the waiting period will be from one to 3-4 days with a constant careful study of the child's stool. If during this time the object is not found in the contents of the pot, you should consult a doctor.
In the case when you did not see the process of swallowing with your own eyes (for example, you scattered and pulled coins into your mouth), it would be useful to carefully inspect the apartment. Perhaps the object rolled under the sofa or closet, and you do not need to worry.
What is possible and what is not?
A common mistake parents make is giving the child a series of enemas, or using laxatives to make the item come out faster. This is unacceptable, since a foreign body in itself is a stress for the digestive system, and the acceleration of its work can lead to injury to the organs by the edges of the object, or its getting stuck in the intestine and the formation of intestinal obstruction.
If you are sure that the child has swallowed a dangerous object, call an ambulance and before it arrives, do not attempt to remove it yourself, so as not to cause additional injury. You should not try to shake out the object, push it further with a crust of bread, you should not water and feed the child (if the object is large, has sharp edges and needs to be removed).
If it is a small coin, a button or a small ball, an object with smooth edges, up to 1-2 cm in size, some measures can help the child remove a foreign object from the body - this is, for example, eating foods rich in fiber - fruits, vegetables or bran.
If you are not sure that the object was swallowed, and also if you do not know exactly what the baby swallowed, carefully monitor his condition for three days, if any disturbing symptoms appear, immediately contact the surgeons at the children's hospital for help. These dangers include:
pain in the abdomen, localized or diffuse, which does not subside, but, on the contrary, intensifies
the child has nausea, vomiting, usually repeated
the child has blood in the stool that occurs after a bowel movement or between them
any other unexplained symptom that was not present before the child swallowed the object

All these manifestations require immediate examination, it is better to play it safe, and thereby avoid danger.
Foreign body in the respiratory system
From the mouth, a foreign body can fall either into the esophagus or into the respiratory tract. The latter circumstance is much more dangerous, as it leads to a violation of the supply of oxygen to the lungs. feature respiratory tract child is that they look like branching tubes of decreasing diameter. The entrance to the larynx is carried out through the vocal cords, which are tightly closed and will not allow the foreign body to come out. In addition, the child's trachea and bronchi are pliable and soft; when coughing, a foreign body can be "knocked" into them. If the body is large enough to block the windpipe, suffocation and death can occur. When it enters a large bronchus, various degrees of respiratory failure are formed.
Most often, children from a year to 3-5 years old suffer, who are pulled into their mouths, and in addition, this often happens when playing, pampering, laughing, crying, talking at the table. Most often, seeds, nuts, pieces of food, beans, grains, seeds, husks, small toys, balls, sweets, threads.
How does it manifest itself?

The right bronchus suffers more often, it is wider and larger, therefore, paroxysmal coughing, weakening of breathing, and a lot of whistling noises in the lungs are primarily noted. In addition, there is a sign of severe stenosis of the upper respiratory tract - suffocation with lengthening of inspiration, blue face, sensation of a foreign body and a hoarse voice. If a foreign body is stuck in the trachea, clapping may be heard when screaming or crying. In addition, a foreign body is also dangerous with complications - especially if it food products with oil or fat. Chemical bronchitis, pneumonia, purulent abscess may develop. If a foreign body perforates the bronchus, this can lead to mediastinitis - a purulent inflammation of the chest cavity, life-threatening.
If you experience any of these symptoms, call immediately ambulance or go to the hospital yourself. Do not try to remove the foreign body yourself if the child can breathe, just do not hold back the cough.
If the child turns blue, there are attacks of suffocation, urgently call for resuscitation, and before her arrival, try to remove the foreign body with some tricks.
For a child up to a year
Place it with your belly on your forearm, supporting your chin and back, face down, head at about a 60 degree angle down. With the edge of the palm, apply about 5 blows between the shoulder blades, look into the mouth for a foreign body. If there is no result, we put the child with his back on his knees, placing his head below the level of the priests, we produce 4-5 pushes just below the nipples of the chest, without pressing on the stomach, if the body comes out, we remove it. If all else fails, before the ambulance arrives, try to artificial ventilation lungs and repeat.
For a child over one year old
Go behind the baby, wrap your arms around his waist, press on the stomach between the navel and the xiphoid process. It is necessary to make a sharp push up, 4-5 times with an interval of 3-5 seconds, if the foreign body comes out, it is removed. If not - carry out repeated actions, soothe the child.
How are they treated?

Children with foreign bodies are hospitalized in the pediatric surgical department. First of all, they clarify where the foreign body is stuck and what its character is. If it is an iron, radiopaque body, it is easy to detect on an x-ray. But food and plastic cannot be seen on x-rays. Often, for diagnosis and simultaneous treatment, endoscopy of the digestive or respiratory system is used. A thin tube with a camera and forceps at the end is inserted into the esophagus, stomach and intestines, their walls and contents are examined, the body is grasped and taken out. The procedure is sometimes performed even without anesthesia.
Everything is more complicated with the bronchi - all manipulations there are done only under anesthesia, otherwise the glottis will close and will not let the apparatus through. After that, the child is monitored, and if necessary, antibiotics are prescribed to prevent infection of the bronchi and lungs.
Precautionary measures
Most often, such incidents are the result of parental carelessness. Therefore, as soon as the baby begins to crawl, walk on all fours throughout the apartment and remove all small and dangerous objects from his access zone. Buy toys by age, without small parts and durable, which the baby will not be able to break or break. Do not leave your child to play with coins, buttons, cereals unattended. If you need to leave the room, carefully inspect the toys, but rather take the baby with you. Do not let the playing baby out of your line of sight!